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AUTHORS: Elmi-Sarabi, Mahsa MSc et al Anesthesia & Analgesia: September 15, 2022 BACKGROUND: Pulmonary hypertension (PH) and right ventricular (RV) dysfunction are major complications in cardiac surgery. Intraoperative management of patients at high risk of RV failure should aim to reduce RV afterload and optimize RV filling pressures, while avoiding systemic hypotension, to facilitate weaning from […]
Read MoreAUTHORS: George Tewfik, MD, MBA, FASA, CPE, MSBA et al Anesthesia Safety Patient Foundation Volume 37, No. 3 October 2022 SUMMARY: The use of the post anesthesia care unit (PACU) as an intensive care unit (ICU) is a decision that can be made to accommodate overflow patients that require critical care. There are numerous risks and […]
Read MoreAUTHOR: David E Arnolds, MD, PhD Anesthesia Patient Safety Foundation Volume 37, No. 3 • October 2022 Amniotic fluid embolism (AFE) is a catastrophic complication unique to the obstetric patient characterized by acute cardiovascular collapse and a profound coagulopathy.1 While AFE is rare, with an incidence of 1–2/100,000 pregnancies, it is associated with a mortality or […]
Read MoreAUTHORS: Molly Kraus, MD; Karl Poterack, MD Anesthesia Patient Safety Foundation Volume 37, No. 3 • October 2022 In May of 2022, a former Vanderbilt nurse was convicted of gross neglect of an impaired adult and criminally negligent homicide for the death of her patient in 2017. While she had intended to give her patient midazolam […]
Read MoreAUTHORS: Jeffrey Cooper, PhD et al Anesthesia Patient Safety Foundation Volume 37, No. 3 • October 2022 SUMMARY: Preventable harm, from the systems of care intended to improve health, continues to occur at an unacceptable rate in the United States. Our hearts go out to each patient and family members who have suffered from an episode […]
Read MoreAUTHORS: Richards, Justin E. MD et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 68-79 Abstract Vasopressor use in severely injured trauma patients is discouraged due to concerns that vasoconstriction will worsen organ perfusion and result in increased mortality and organ failure in hypotensive trauma patients. Hypotensive resuscitation is advocated […]
Read MoreAUTHORS: James Xie, MD et al Anesthesia Patient Safer Foundation Volume 37, No. 3 • October 2022 Dear Rapid Response: Transporting patients is a high-risk process, accounting for up to 5% of pediatric anesthesia adverse events.1 Studies have identified respiratory and airway adverse events as some of the most common complications, along with the role of transport […]
Read MoreAuthors: Singley, Patrick M. MD et al A & A Practice: May 2022 – Volume 16 – Issue 5 – p e01586 Abstract One-lung ventilation (OLV) can be accomplished utilizing a double-lumen tube (DLT) and an endobronchial blocker (EBB) or intentionally placing a standard endotracheal tube (ETT) into a mainstem bronchus. However, secondary options must be […]
Read MoreDG Journal Club Authors: Getaw Worku Hassen et al J Emerg Med. 2022 Aug 28 BACKGROUND Anterior shoulder dislocation is a common presentation to the emergency department (ED). Dislocations are spontaneous or traumatic. Generally, a reduction is performed under procedural sedation and analgesia (PSA). Other approaches include the use of intra-articular lidocaine or, in rare […]
Read MoreAUTHORS: Barreto Chang et al Anesthesia & Analgesia: October 2022 – Volume 135 – Issue 4 BACKGROUND: Ketamine is typically used by anesthesiologists as an adjunct for general anesthesia and as a nonopioid analgesic. It has been explored for prevention of postoperative delirium, although results have been contradictory. In this study, we investigated the association of […]
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